Illuminate and Evolve Therapy
Illuminate and Evolve Therapy is a Clinical Social Worker in Salt Lake City, Utah. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
3435 S Brook View LnSalt Lake City, UT 84106-1593
Phone: (801) 633-6579
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1932868528 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mona Lisa Chavez Esqueda — Owner/Operator · (801) 633-6579 |
| NPI enumerated | December 11, 2021 |
| Last updated in NPPES | December 11, 2021 |
| Certification date | December 11, 2021 |
| Mailing address | 3435 S Brook View Ln, Salt Lake City, UT 84106-1593 |
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